Peritoneal Dialysis
Scenario: A 45-year-old male with a history of hypertension and chronic kidney disease has arrived at the clinic
for a follow-up appointment with his nephrologist. The client’s kidney disease was treated conservatively with
drug therapy and diet up until 6 weeks ago, but then it was determined that the client’s uremia could no longer
be adequately managed in that manner. After consultation with his family and healthcare provider, the client
decided to begin peritoneal dialysis (PD). A peritoneal catheter was placed a month ago and the client has been
using an automated peritoneal dialysis system at home since then. After reviewing the client’s medical record,
the clinic nurse performs a physical assessment.
1. Use an X to indicate which client assessment findings require follow-up by the nurse.
Assessment Finding
Client reports lower back pain.
Abdomen is round and soft.
Weight gain of 5 pounds since dialysis began.
Catheter insertion site slightly reddened with small amount serosanguinous drainage.
Client reports the drained effluent was pink the first 2 days after catheter insertion.
Serum potassium level is 4.2 mEq/L.
Assessment
Finding that
Requires
Follow-up